Implementation of the No Surprises Act for Dental Practices: Instructional Guidance and Toolkit

Think the new No Surprises Act doesn’t apply to dentists? Think again!

The federal No Surprises Act went into effect on January 1, 2022. It requires private practitioners, including dentists, to provide uninsured and self-pay patients with good faith estimates of the cost of their dental services, in advance of treatment. This is in addition to the treatment plans and financial estimates you are currently providing.

Learn how the Act applies in your practice by signing up for “Implementation of the No Surprises Act for Dental Practices.”  The program includes an instructional video, implantation guidance, and a toolkit.

Included in the Implementation of the No Surprises Act for Dental Practices:  Instructional Guidance and Toolkit:
- Instructional Video from Laura Diamond
- No Surprises Act Implementation Guidance for Dental Offices
- Good Faith Estimate Notice (English & Spanish)
- Good Faith Estimate Form for Dental Items and Services (English & Spanish) *This is a customized form. Please have your National Provider Identifier and Taxpayer Identification Number ready.
- CMS-10791 Good Faith Estimate Template Notice (English & Spanish)
- Good Faith Estimate Phone Log

Please note that you will receive your materials within 24 hours of purchase. If you have any questions, please contact 817-755-0035. All materials in this package are digital.

Note: Please be advised that DCS does not currently offer international shipping services.